Individual provider Active NPI

Nosa Imalenowa, PHARM.D

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1033445762
Registry record updated Oct 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44688 Issued in TX
Practice address
2401 W Ledbetter Dr
Dallas, TX 75233-4015
Phone
(214) 337-2126
NPI assigned
Oct 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44688 TX Primary

Addresses

Primary practice location

2401 W Ledbetter Dr
Dallas, TX 75233-4015

Mailing address

2401 W Ledbetter Dr
Dallas, TX 75233-4015
Phone (214) 337-2124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
44688TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256947200000",
    "number": "1033445762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752334015",
            "telephone_number": "214-337-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752334015",
            "telephone_number": "214-337-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMALENOWA",
        "first_name": "NOSA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.